| Objective:1 To study the effectiveness of the food composition table and foodstuff substitution method on diet education in patients with diabetic nephropathy.2 To improve the diet knowledge level and the dietary structure of patients with diabetic nephropathy.3 To improve the nutrition and capacity of the load conditions in patients with diabetic nephropathy, delay the kidney development of patients with diabetic nephropathy.Methods: This research is kind of experimental research. Choose 2009 March 1 to 2010 July 31 in guangxi medical university first affiliated hospital Nephrology department hospital clinical period the diabetes nephrosis patient 78 cases. Meet the conditions of the research object according to order Numbers, application hospital SPSS13.0 software programming generate random Numbers, the research object will be randomly divided into the control group and the experimental group. the control group uses the conventional health education, the experimental group applying food composition table and foodstuff substitution method, intervention for 6 months, the two groups of patients before and after the intervention evaluation the index of anthropometric, micro human surveying in nutritional status, capacity load, laboratory index, anxiety and depression, health score,which was analysised with SPSS 13.0 software package. Percentage and mean plus-minus standard deviation were used in descriptive information,T-test, chi-square test methods such as differences between the two groups.Results:1 The general information of patients, the situation before intervention diet education, anthropometric indexes, micro-nutrient nutrition assessment score and grade level, capacity load, laboratory parameters, and classification of anxiety and depression scores, health status summary table comparing scores Comparison was not significant (P>0.05), balance of baseline data were comparable.2 Anthropometric indicators: left grip and right grip strength, Triceps Skinfold thickness(TSF), Mid-Arm Circumference(MAC),Mid-Arm Muscle Circumference(MAMC), the experimental group before and after intervention were statistically significant differences (P<0.05); the control group before and after intervention was not significant (P>0.05); difference between the two groups after intervention was statistically significant (P<0.05).3 Micro-nutritional assessment score and grade levels of nutrition: the experimental group were compared before and after intervention were statistically significant differences (P<0.05); the control group before and after intervention was not significant (P>0.05); difference between the two groups after intervention were statistically Significance (P<0.05).4 Load capacity: SBP, DBP, day drinking water, water content and swelling degree day diet, the experimental group before and after intervention was statistically significant (P<0.05); the control group before and after intervention was not significant (P>0.05) ; difference between the two groups after the intervention was significant (P <0.05).5 Laboratory parameters: the experimental group before and after intervention were statistically significant differences (P<0.05); control group, no significant difference between before and after intervention (P>0.05); difference between the two groups after intervention was statistically significant (P <0.05 .)6 Anxiety and depression scores and classification: the experimental group were compared before and after intervention were statistically significant differences (P <0.05); the control group before and after intervention was not significant (P> 0.05); statistically significant difference between the two groups (P <0.05).7 Summary health status scores: In addition to the overall health of patients in the experimental group, the remaining seven latitude scores before and after intervention was statistically significant (P <0.05). In addition to the overall health of patients in control group outside the latitude of the remaining seven scores before and after intervention was not significant (P>0.05). Two groups of patients 6 months after the intervention latitude 8 Comparison of the scores were statistically significant (P <0.05).Conclusion:1 Dietary education conditions of patients with diabetic nephropathy were not optimistic about the food composition table and foodstuff substitution method and dietary knowledge level is low, it is necessary to implement in patients with diabetic nephropathy food composition table and foodstuff substitution method dietary education.2 Food composition table and foodstuff substitution method were improved the anthropometric indicators, capacity load status, laboratory parameters of patients with diabetic nephropathy.3 Food composition table and foodstuff substitution method were improved micro-nutrient nutrition assessment score and reducing the incidence of malnutrition of patients with diabetic nephropathy.4 Food composition table and foodstuff substitution method were reduced the scores and incidence rates of the anxiety and depression in patients with diabetic nephropathy.5 Food composition table and foodstuff substitution method were improved the health status and improve the quality of life of patients with diabetic nephropathy.6 Food composition table and foodstuff substitution method were scientific, practical, effective and easy to learn, should be implemented in diet education in patients with diabetic nephropathy. |
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